What is an Ultrasonic Rhinoplasty?
Ultrasonic rhinoplasty, also known as “piezoelectric rhinoplasty”, is the latest development in cosmetic nose contouring surgery. Traditional rhinoplasty makes use of specialised instruments, including chisels, mallets and bone files, that are used to remove dorsal humps from the bridge of the nose and reduce the width of the nose. The ultrasonic nose job makes use of a device commonly used in dentistry to apply high-frequency acoustic vibrations for precision sculpting of the nasal bones whilst simultaneously preserving the delicate nasal soft tissues. Ultrasonic nose job surgery gives increased accuracy compared with traditional instruments. Ultrasonic rhinoplasty results in a quicker recovery period and less downtime compared with a traditional rhinoplasty. This is due to the highly accurate method of shaping the nasal bones. Many people may be unable or unwilling to undergo the potentially lengthy recovery period associated with a traditional rhinoplasty.
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Ultrasonic rhinoplasty makes it possible for patients to achieve better results with less bruising and swelling. Centre for Surgery is one of the few clinics in London and the UK specialising in ultrasonic rhinoplasty at our state-of-the-art Baker Street clinic in Marylebone Central London.
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Ultrasonic Rhinoplasty Before & Afters
Using the ultrasonic method for open rhinoplasty means patients can experience less bruising and swelling during the healing period. The key advantage is the increased precision afforded through the use of the piezotome device, and results after ultrasonic rhinoplasty are consistently better compared with a traditional open rhinoplasty.
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Benefits of Ultrasonic rhinoplasty
Ultrasonic rhinoplasty is a surgical technique that uses ultrasonic energy to reshape the nose, improving its appearance and function. This technique has gained popularity in recent years due to its ability to provide more precise results and faster recovery times compared to traditional rhinoplasty techniques. Here are some of the benefits of ultrasonic rhinoplasty:
Improved precision and control
One of the main benefits of ultrasonic rhinoplasty is its ability to provide improved precision and control during the procedure. The ultrasonic device used in this technique is able to precisely target and reshape bone and cartilage without damaging surrounding tissues. This allows the surgeon to achieve more precise results, making it possible to correct even minor imperfections and asymmetries in the nose.
Reduced trauma and faster recovery
Compared to traditional rhinoplasty techniques, ultrasonic rhinoplasty causes less trauma to the tissues and has a faster recovery time. The ultrasonic energy used in this technique is gentle and causes less damage to the tissues, reducing swelling, bruising, and pain after the procedure. Patients typically experience less downtime and can return to work and other normal activities sooner compared to traditional rhinoplasty techniques.
More natural-looking results
Because of the precision and control provided by ultrasonic rhinoplasty, the results are often more natural-looking and subtle compared to traditional rhinoplasty techniques. The surgeon is able to reshape the nose in a more precise manner, creating a more harmonious and balanced appearance. This can be particularly beneficial for patients who want to improve the appearance of their nose without it looking too obvious that they have had surgery.
Correction of functional issues
In addition to improving the appearance of the nose, ultrasonic rhinoplasty can also be used to correct functional issues such as breathing difficulties or nasal congestion. By using the ultrasonic device to reshape the bone and cartilage, the surgeon can improve the internal structure of the nose, allowing for better airflow and easier breathing.
Shorter procedure time
Ultrasonic rhinoplasty can often be performed more quickly than traditional rhinoplasty techniques, reducing the time that the patient needs to be under anaesthesia. This can be particularly beneficial for patients who are concerned about the risks associated with anaesthesia. Additionally, a shorter procedure time can mean a shorter recovery time, allowing patients to return to their normal activities sooner.
Ultrasonic rhinoplasty is a minimally invasive technique, which means that the incisions made during the procedure are smaller than those made during traditional rhinoplasty techniques. This can result in minimal scarring, which can be particularly beneficial for patients who are concerned about visible scars or who have a history of keloid scarring.
Ultrasonic rhinoplasty allows the surgeon to take a customized approach to each patient’s unique needs and goals. The ultrasonic device can be used to precisely target and reshape specific areas of the nose, allowing the surgeon to create a personalized treatment plan that addresses the patient’s specific concerns. This can result in more individualized results that are tailored to each patient’s unique facial features and preferences.
In conclusion, ultrasonic rhinoplasty is a modern surgical technique that offers numerous benefits over traditional rhinoplasty techniques. By providing improved precision and control, reduced trauma and faster recovery, more natural-looking results, correction of functional issues, shorter procedure time, minimal scarring, and a customized approach, this technique can provide a safe and effective solution for patients who want to improve the appearance and function of their nose.
Ultrasonic Rhinoplasty vs Traditional Rhinoplasty
Ultrasonic rhinoplasty is a relatively new technique for performing nose surgery, while traditional rhinoplasty has been the standard approach for many years. Here are some of the key differences between the two procedures:
- Technique: The primary difference between ultrasonic rhinoplasty and traditional rhinoplasty is the technique used to reshape the nose. Traditional rhinoplasty typically involves using a surgical instrument called an osteotome or chisel to break and reshape the bone and cartilage of the nose. In contrast, ultrasonic rhinoplasty uses a specialized ultrasonic device to gently sculpt the bone and cartilage without breaking them, providing greater precision and control.
- Precision: Due to the ability to precisely sculpt bone and cartilage, ultrasonic rhinoplasty can provide more accurate and precise results than traditional rhinoplasty. This can be especially beneficial for patients who require subtle changes or who have complex nasal anatomy.
- Recovery Time: Ultrasonic rhinoplasty typically has a faster recovery time compared to traditional rhinoplasty. The ultrasonic device used in the procedure causes less damage to the surrounding tissues, resulting in reduced swelling, bruising, and pain after the surgery.
- Anaesthesia: Traditional rhinoplasty often requires an inpatient stay, while ultrasonic rhinoplasty can be performed as a day case, reducing the risks associated with being hospitalised.
- Scarring: Ultrasonic rhinoplasty typically results in smaller incisions and less scarring compared to traditional rhinoplasty.
- Cost: Ultrasonic rhinoplasty may be more expensive than traditional rhinoplasty due to the specialised equipment and training required to perform the procedure.
The specially engineered piezotome handpiece used in ultrasonic rhinoplasty is specifically designed to sculpt and contour hard tissues such as bone or cartilage without injuring the delicate soft tissues, which include the skin, mucosal lining of the nose, all the softer nasal cartilage, which include both the lower lateral cartilages and the upper lateral cartilages. Preserving the surrounding soft tissues means ultrasonic rhinoplasty results in much less bruising and swelling than traditional rhinoplasty. Bleeding during the procedure is much reduced due to the precision action of the handpiece, which results in small blood vessels being preserved during the reshaping of the nasal bone. Less bleeding during the surgery means much less bruising and swelling in the postoperative period.
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The ultrasonic handpiece used in the procedure can create much more controlled fracture lines as part of the process of reducing the width of the nose. Traditional rhinoplasty instruments often result in uncontrolled fracture lines, which may extend into undesired areas. This may reduce the precision of the procedure and increase the risk of requiring revision rhinoplasty later on. Ultrasonic rhinoplasty is associated with a lower risk of requiring revision rhinoplasty due to the precise nature of sculpting the nasal bones with increased predictability and accuracy.
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Currently, ultrasonic rhinoplasty can only be used as part of an open rhinoplasty which requires an incision at the base of the columella followed by gently separating the skin of the nose away from the underlying bone and cartilage framework. The specialised inserts used on the device require full visualisation of the nose, which is only possible with an open rhinoplasty.
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Ultrasonic rhinoplasty is carried out under a general anaesthetic. At Centre for Surgery, we specialise in total intravenous anaesthesia (TIVA), which is associated with a more rapid recovery compared with a traditional anaesthetic used in hospitals. The risk of feeling sick after the procedure is much reduced when intravenous anaesthesia is used instead of gases. The procedure takes between two and three hours to carry out, depending on the amount of correction required. After the procedure, you will be taken to our recovery area and monitored by a trained recovery nurse until you are fit for discharge. You’ll be given food and drink to have once you have recovered from the effects of the anaesthetic. You will then be reviewed by your surgeon, who will discuss the post-operative instructions with your responsible adult carer. You can only go home accompanied by your responsible adult escort in a car or taxi and you must be looked after for at least 24 to 48 hours after ultrasonic rhinoplasty surgery.
Am I suitable?
Ideal candidates for ultrasonic rhinoplasty include:
- You are concerned about the size or shape of your nose and would like to improve its appearance
- You are in good physical and mental health with no chronic medical conditions
- Are you have difficulty breathing through the nose
- You snore loudly at night and may suffer from sleep apnoea
- You are over 18 years of age
- Your expectations for what piezotome rhinoplasty can achieve are realistic
- You have sustained a previous traumatic injury to the nose which has affected its appearance and function
All patients should refrain from smoking at least four weeks before the procedure and for at least six weeks afterwards as smoking is associated with an increased risk of delayed healing and wound infection. Patients who have significant medical conditions such as high blood pressure, diabetes, heart disease or a bleeding condition may not be suitable patience for ultrasonic rhinoplasty. Heavy alcohol drinkers and patients who have a body mass index over 30 may not be suitable for this surgical procedure.
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You will be assessed by your surgeon at the face-to-face consultation where a full medical history will be taken including any medicines you are taking and if you have any allergies. Herbal remedies may increase the risk of bleeding and should also be stopped before surgery. It’s important to give a fully accurate account of your medical history to avoid an increased risk of complications occurring. Centre for Surgery does not offer consultations or treatments to people under the age of 18 as the nose will still be going through active growth and development until after puberty is complete around the age of 16.
Ultrasonic rhinoplasty procedure
Traditional rhinoplasty surgery uses mallets, osteotomes and bone rasps to reshape the nasal bones. As a result of the lack of precision with these tools, irregularities affecting the surface of the bone could occur. The use of powered tools was still resulting in the same complications.
Ultrasonic rhinoplasty is a new precision device which uses sound waves to contour the nose. This reshapes the nose and removes humps. Unlike traditional methods of rhinoplasty, ultrasonic rhinoplasty only targets the nasal bones, with no additional damage to other tissue. There is less trauma to the nose, and as a result, there is less bruising and swelling afterwards. This method means there are also fewer tissue and bone healing complications.
Ultrasonic rhinoplasty is performed as an outpatient surgical procedure. This means you will be able to return home the same day as your procedure; you will not have to stay overnight in a hospital. You can leave as soon as the effects of the anaesthetic have worn off.
Ultrasonic rhinoplasty involves opening the skin on the nose, exposing the bone and cartilage. The reshaping of the bone is done using ultrasonic energy. This is a very precise surgical technique and allows for more accurate contouring of the nasal bones. Only bone can absorb the ultrasonic energy, so there is no damage to the surrounding tissue, cartilage, blood vessels and mucosal lining.
This method results in less bleeding, causing less bruising and swelling, which means there is a quicker recovery period.
Recovery after ultrasonic rhinoplasty
Ultrasonic rhinoplasty has a much quicker recovery time compared with traditional rhinoplasty. Many patients enquire about this procedure because of the quicker recovery period. The procedure involves a much lower amount of bruising and swelling. Most people who have traditional rhinoplasty surgery need approximately two weeks of downtime for adequate healing and recovery. Patients with ultrasonic rhinoplasty often need no more than one week off work.
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As with traditional rhinoplasty, it is important to avoid strenuous physical activities, including going to the gym. Sexual activity should be restricted for the first four weeks. Any activity which may increase the risk of actual contact with the nose should be avoided.
And any mild swelling that may develop following diamond rhinoplasty can be easily resolved by sleeping on your back and with your head propped up on two or three pillows. We would advise not sleeping on your front after the procedure. It is uncommon to have significant pain after the procedure, and any discomfort can be easily controlled with over-the-counter painkillers. Excessive sun exposure should be avoided for the first three months after ultrasonic rhinoplasty. Healing skin is particularly susceptible to the effects of intense sunlight, and the UV rays can slow down the healing process and may result in an increased risk of excessive scarring. Smoking should also be avoided as smoking is linked with delayed wound healing and increases the risk of postoperative wound infection during the first two weeks after the procedure.
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It is essential to follow all of the postoperative instructions given to you by your surgeon after ultrasonic rhinoplasty. If you fail to follow the instructions, the risk of developing complications may be increased.
Certain complications, such as infection or scarring, can be prevented or minimised by attending your scheduled postoperative appointments with our nursing team. Ultrasonic rhinoplasty may involve certain side effects, which include temporary numbness of the nasal tip, changes in the sensitivity of the skin, temporary or permanent skin discolouration, difficulty in breathing and perforation or hole in the nasal septum. Ultrasonic rhinoplasty is a highly precise method of reshaping the nasal bones, and the risk of complications is, therefore, much lower, so the chances of obtaining an excellent result are much increased. To learn more about precision nasal sculpting using the ultrasonic technique, book an appointment today with an expert rhinoplasty specialist at Centre for Surgery to learn how the procedure can help you achieve an aesthetically appealing nose.
Will I get less bruising and swelling after ultrasonic rhinoplasty?
Ultrasonic rhinoplasty is a newer technique that uses ultrasonic energy to break up and reshape the bone and cartilage in the nose. Some surgeons claim that this technique results in less bruising and swelling than traditional rhinoplasty, as it is less invasive and causes less trauma to the surrounding tissue. However, it is worth noting that individual results may vary, and the recovery process is different for each patient.
It is important to remember that any type of rhinoplasty procedure will result in some degree of swelling and bruising. The recovery time may vary depending on the individual’s healing process. A good surgeon could provide you with a more detailed answer regarding the recovery process and what you should expect after the surgery.
It’s also worth noting that, regardless of the technique used, following the post-operative instructions given by your surgeon carefully and keeping your head elevated can help to minimise swelling and bruising after surgery.
Top tips for fast healing after ultrasonic rhinoplasty
Ultrasonic rhinoplasty, also known as “piezoelectric rhinoplasty,” is a minimally invasive surgical technique that uses ultrasonic waves to reshape the bones and cartilage in the nose. It can be used to correct a variety of nasal issues, such as a deviated septum, a crooked nose, or a bulbous tip.
- Follow post-operative instructions: It is essential to follow your surgeon’s postoperative instructions carefully to ensure proper healing and the best possible outcome. This may include information on how to care for your nose, what medications to take, and when to return for follow-up appointments.
- Keep your head elevated: Keeping your head elevated can help to reduce swelling and inflammation in the nose. You should sleep with an extra pillow or two for at least the first few days after surgery.
- Use cold compresses: Applying a cold compress to the nose can help to reduce swelling and discomfort. You can make a cold compress by wrapping a few ice cubes in a towel or using a bag of frozen peas.
- Avoid blowing your nose: Blowing your nose can cause bleeding and should be avoided for at least the first week after surgery. If you need to clear your nasal passages, you can use a saline nasal spray.
- Avoid strenuous activity: Strenuous activity can cause bleeding and should be avoided for at least the first week after surgery. You should also avoid bending over, lifting heavy objects, or doing any other activity that could increase blood flow to the nose.
- Take medications as prescribed: Your surgeon may prescribe medications to help with pain, swelling and infection. It is important to take these medications as directed.
- Be patient: Healing can take time, and you may not see the final results of your surgery for several months. It is important to be patient and follow your surgeon’s post-operative instructions to ensure proper healing and the best possible outcome.
By following these tips, you can help to ensure proper healing after ultrasonic rhinoplasty and achieve the best possible outcome.
Risks and potential complications of piezoelectric rhinoplasty
Piezoelectric rhinoplasty is a type of rhinoplasty that uses a specialized instrument called a piezoelectric device to perform precise bone sculpting. While this technique offers numerous benefits, such as reduced trauma and faster recovery, there are also risks and potential complications associated with this procedure. Here are some of the risks and potential complications of piezoelectric rhinoplasty:
One of the most common risks associated with any surgical procedure, including piezoelectric rhinoplasty, is bleeding. While bleeding is typically minimal during this procedure, it can become more significant if there is an unexpected complication, such as a blood vessel injury. In some cases, additional surgical procedures may be necessary to control bleeding.
Another potential complication of piezoelectric rhinoplasty is infection. While rare, infections can occur after any surgical procedure and may require antibiotics or additional surgical intervention to treat. To minimize the risk of infection, patients are typically prescribed antibiotics before and after the procedure.
The use of a piezoelectric device during rhinoplasty can sometimes cause nerve damage, leading to numbness, tingling, or weakness in the nose or surrounding areas. While nerve damage is typically temporary, it can sometimes be permanent, leading to long-term complications.
Perforation of the septum
The septum is the cartilage that separates the two nostrils. During piezoelectric rhinoplasty, the septum may be inadvertently perforated, leading to bleeding, pain, and difficulty breathing. In some cases, additional surgical procedures may be necessary to repair the perforation.
Piezoelectric rhinoplasty requires a high level of skill and precision to achieve the desired results. If the surgeon is not experienced or makes a mistake during the procedure, it can lead to asymmetry or an unnatural appearance of the nose. In some cases, additional surgical procedures may be necessary to correct the issue.
While piezoelectric rhinoplasty can improve the appearance of the nose, it can also inadvertently cause airway obstruction. This can occur if too much bone or cartilage is removed or if the internal structure of the nose is altered in a way that impairs breathing. In some cases, additional surgical procedures may be necessary to correct the issue.
While piezoelectric rhinoplasty typically results in less scarring compared to traditional rhinoplasty techniques, there is still a risk of visible scarring. This can be particularly true if the incisions are not made properly or if the patient has a history of keloid scarring.
Piezoelectric rhinoplasty requires the use of general anaesthesia, which carries its own set of risks and potential complications. These can include allergic reactions, blood pressure changes, and breathing difficulties. Patients with preexisting medical conditions, such as heart disease or lung disease, may be at a higher risk of complications from anaesthesia.
Does ultrasonic rhinoplasty cost more than traditional rhinoplasty?
The cost of ultrasonic rhinoplasty can vary depending on a number of factors, such as the location of the practice, the surgeon’s experience and skill level, and the complexity of the procedure. In general, ultrasonic rhinoplasty may cost more than traditional rhinoplasty because it is a newer and more advanced technique that requires specialized equipment and training.
However, the cost of ultrasonic rhinoplasty should not be the only factor considered when deciding on a procedure. It is important to choose a qualified, experienced surgeon who can provide the best possible outcome, regardless of the cost. It’s also worth noting that the cost of piezoelectric rhinoplasty surgery may also depend on the extent of surgical correction required.
It’s always best to consult with a few plastic surgeons, and ask them about their experience and the cost of the procedure, so you can make a well-informed decision.
Should I get Ultrasonic Rhinoplasty?
Whether or not to get ultrasonic rhinoplasty is a personal decision that should be made in consultation with a qualified and experienced plastic surgeon. Ultrasonic rhinoplasty can offer several benefits, such as improved precision and control, reduced trauma and faster recovery, more natural-looking results, correction of functional issues, shorter procedure time, minimal scarring, and a customized approach. However, there are also potential risks and complications associated with this procedure, such as bleeding, infection, nerve damage, perforation of the septum, asymmetry, airway obstruction, scarring, and anesthesia complications.
To determine if ultrasonic rhinoplasty is right for you, your Centre for Surgery plastic surgeon will evaluate your medical history, current health, nasal anatomy, and cosmetic goals. They will explain the potential benefits and risks of ultrasonic rhinoplasty, answer any questions you may have, and help you make an informed decision. It is important to choose a qualified and experienced plastic surgeon who has expertise in performing ultrasonic rhinoplasty to maximize the chances of a successful outcome and minimize the risks of complications.
It is also important to have realistic expectations about the outcome of the procedure. While ultrasonic rhinoplasty can improve the appearance and function of the nose, it cannot completely change a person’s facial features or guarantee a specific cosmetic result. Before deciding to undergo ultrasonic rhinoplasty at Centre for Surgery in London, it is important to have a clear understanding of what the procedure can and cannot achieve and to communicate your goals and concerns with your plastic surgeon.
What is ultrasonic rhinoplasty?Ultrasonic rhinoplasty is otherwise known as a "piezoelectric rhinoplasty". It involves a specialised ultrasonic tool which uses ultra-high frequency ultrasonic energy to precisely sculpt the nose, altering the shape and removing any humps.
What are the advantages of ultrasonic rhinoplasty?Ultrasonic rhinoplasty does not damage any other parts of the nose. Only the bone can absorb the ultrasonic energy. The blood vessels, tissue and cartilage will not be damaged. This means there is less bleeding and, therefore, less bruising and swelling after the procedure. As a result, you will have a faster recovery time than compared to traditional rhinoplasty.
The ultrasonic device also allows for more precise contouring of the nose, meaning there will be fewer errors in the shape and lowers the chances of needing a follow-up corrective procedure.
Is ultrasonic rhinoplasty more expensive than regular rhinoplasty?Ultrasonic rhinoplasty, also known as piezoelectric rhinoplasty, can be more expensive than traditional rhinoplasty due to several factors. The use of advanced technology, specialized instruments, and the need for a surgeon with specific expertise in ultrasonic techniques can contribute to a higher cost. However, the exact cost difference will depend on the individual case, the extent of the work required, and the location and reputation of the surgical facility.
It's important to remember that the cost of a rhinoplasty should not be the only factor to consider when choosing a surgeon or procedure. The skill of the surgeon, their experience in performing ultrasonic rhinoplasty, and their understanding of your aesthetic goals and needs should be given equal importance.
During your consultation, discuss the costs involved in the procedure with your surgeon, who will provide an estimate based on your specific requirements. It's always a good idea to weigh the benefits and potential outcomes of each technique against the cost, as investing in the right procedure for your needs can lead to more satisfying and long-lasting results.
When can I see the final results of my ultrasonic nose job?The final results of an ultrasonic rhinoplasty procedure can take several months to become fully visible. While some changes may be noticeable immediately following the surgery, it can take time for the swelling to subside and the tissues to heal and settle into their new shape. The speed and extent of the healing process can vary depending on several factors, such as the extent of the surgery, the patient's overall health, and the individual healing rate.
In general, patients can expect to see significant improvement in the appearance of their nose within the first few weeks to months following the procedure. However, it can take up to a year or longer for the final results to become fully visible as the tissues continue to heal and settle into their new position.
During the initial recovery period, patients should follow their surgeon's postoperative instructions carefully to help minimize swelling, promote healing, and reduce the risk of complications. This may include avoiding strenuous activities, not blowing the nose, and avoiding certain foods or medications that can increase the risk of bleeding or interfere with the healing process.
Am I suitable for the ultrasonic nose job procedure?You will be suitable for an ultrasonic rhinoplasty if you wish to alter the shape of your nose.
You will need to be at least 18 years old.
You will need to be a non-smoker or be able to stop smoking before and after the procedure.
You will need to have realistic expectations about what the procedure can achieve.
How is ultrasonic rhinoplasty performed?The procedure will be performed under a general anaesthetic so that you will be asleep throughout the surgery.
The skin on the nose will be opened to expose the bone and cartilage. Ultrasonic energy is then used to reshape the nose.
What is the recovery like after ultrasonic rhinoplasty?The recovery period will be faster than what is experienced with a traditional rhinoplasty with minimal swelling and bruising. However, it is recommended that you sleep with your head raised to reduce any swelling. You will need to avoid excess sun and heat exposure in the first few months.
There will be minimal bruising and swelling due to the ultrasonic energy technique.
You may need to take up to one week off work to fully recover. This will vary from person to person and will depend on the type of job you have. Traditional rhinoplasty patients often require two weeks off work.
You will have to avoid strenuous physical activity and avoid physical contact with the nose, for example, accidentally hitting the nose.
It is recommended that you sleep in an elevated position with several pillows. This will help to reduce any swelling that may occur. It is best to sleep on your back rather than on your front or sides to avoid any contact with the nose.
It is best to avoid excess sun exposure for the first few months following the procedure. Make sure to wear a hat, seek shade or apply sunscreen when in the sun, as the nose will be prone to sunburn.
Is ultrasonic rhinoplasty painful?Ultrasonic rhinoplasty is generally considered to be less painful than traditional open rhinoplasty, as it is a minimally invasive technique that does not require the use of a scalpel. However, patients may experience some discomfort and pain during the recovery period, as well as swelling and bruising around the nose.
During the procedure, patients will be given a local or general anaesthetic to minimise pain, but some discomfort can be expected during the healing process. Your surgeon may prescribe pain medication to help manage any discomfort.
It is important to follow your surgeon's postoperative instructions carefully to help manage any pain and discomfort. Applying a cold compress to the nose and keeping your head elevated can also help to reduce swelling and discomfort.
It's also important to remember that everyone's pain tolerance is different, and the level of pain experienced can vary greatly from person to person. It is best to discuss any concerns with your surgeon prior to the procedure.
How long will I need to take off work after ultrasonic rhinoplasty??You will need to take one week off work to recover fully.
Can ultrasonic rhinoplasty fix a deviated septum?Ultrasonic rhinoplasty can be used to correct a deviated septum, which is a common condition that can cause breathing difficulties and other nasal problems. A deviated septum occurs when the cartilage that separates the nostrils is crooked or displaced, leading to a blockage of one or both nasal passages.
During ultrasonic rhinoplasty, the plastic surgeon can use the ultrasonic device to carefully reshape the cartilage of the septum, straightening it and restoring proper airflow through the nasal passages. This can help improve breathing and reduce other symptoms associated with a deviated septum, such as snoring, nasal congestion, and chronic sinusitis.
It is important to note that correcting a deviated septum through ultrasonic rhinoplasty is a separate procedure from cosmetic rhinoplasty, which is designed to improve the appearance of the nose. If a patient has both a deviated septum and cosmetic concerns, the plastic surgeon can perform both procedures at the same time to address both issues.
What To Expect
We always recommend a face-to-face consultation with one of our expert rhinoplasty surgeons as a first step in your journey towards a new nose. When you meet with one of our surgeons, your surgeon will take time to listen carefully to what you hope to achieve and give you an expert opinion on what can and cannot be achieved after performing a thorough physical examination. Your surgeon may use computerised digital imaging to map the structure of your nose in detail to give you an idea of what your nose could look like after your procedure.
Your surgeon will also take several measurements as part of a detailed facial analysis. Finally, high-resolution photographs are taken from several views. Your surgeon will also discuss the potential risks and complications and what to expect in the postoperative phase during your healing and recovery. It is essential to know what medicines you are taking as some medicines can interfere with blood clotting and may need to be stopped. Any history of medical conditions or previous surgery will also be recorded, and all the compiled information will be used to decide your fitness for the rhinoplasty procedure. After a recommended two-week 'cool off period' and provided you are appropriate for the procedure, you can then make an informed decision on whether you would like to proceed with the procedure. If you are unsure of any aspect of the procedure and what it entails, then we would invite you to return for as many follow-up consultations with your surgeon as you like to make sure that ultrasonic rhinoplasty is right for you. The consultation lasts about 45 minutes on average. It may take longer if your procedure is going to be more complex. We would actively recommend attending a follow-up consultation to ensure all your questions are answered.
Before your procedure
Once you have decided to move forward with ultrasonic rhinoplasty, our preoperative assessment team will be in touch to assess medical fitness before coming in on the day of surgery.
There are several instructions to follow before your procedure, including stopping any aspirin-containing medicines as these can increase bleeding and, ideally, stopping smoking. Smokers have a higher risk of slower wound healing and more chance of wound complications.
On the day of your procedure, you must follow the preoperative fasting guidance, which includes no food for 6 hours prior. Clear fluids (water) are allowed up to 2 hours before your procedure.
On the day of your procedure
When you arrive for your ultrasonic rhinoplasty procedure, you should aim to arrive on time to allow the admission process to proceed smoothly. One of our nurses will formally admit you and will check several items, including making sure you have your postoperative medications. You will have your vital signs measured, including blood pressure and heart rate. The anaesthetist will then meet you to perform a preoperative airway assessment. Finally, your surgeon will get your informed consent for the planned procedure, followed by a detailed preoperative marking of the areas to be treated. The ultrasonic rhinoplasty procedure takes about 2-3 hours to perform, and our anaesthetists use TIVA general anaesthesia to keep you comfortable throughout the procedure. Ultrasonic rhinoplasty is always performed using the open rhinoplasty technique with a small incision on the columella for optimal access and visualisation. After the procedure is complete, you will spend time in our recovery suite, where you will be prepared for nurse-led discharge once you have met all the discharge criteria. It is important to have a responsible adult to accompany you home and look after you for the first 24 hours.
After your procedure
Once you are safely home, you can be assured of having access to our postoperative specialist team around the clock. You will be given a contact number to contact your surgeon in the first 24 hours after surgery if there is any concern. A rhinoplasty procedure is associated with very little postoperative discomfort, although a congested feeling is common for the first week after surgery. Bruising should start to subside after 7-10 days. You should avoid intense sunlight after the procedure to reduce the risk of pigmentary changes.
Our postoperative team will look to call every day for the first two weeks after your procedure. This is so we can monitor your levels of comfort and can alert your surgeon if there is any concern. Our proactive approach allows the detection of any potential issues early, which results in more effective treatment. You are advised to rest for at least a few days after your rhinoplasty procedure which will also help with pain control. Heavy exercise should be avoided for at least the first four weeks. Our postoperative clinical team will assess your face to face at your 1-week postoperative appointment to ensure healing is progressing normally and the site of the wound are healthy. Your splint will be removed, and if you had an open rhinoplasty, the small sutures at the base of the nose would be removed. You will be booked for your surgeon's follow-up appointment for six weeks after your procedure.